Re: 10 days, and no let down
Welcome and congratulations on the new baby! I am sure you're in a pretty dark, self-doubting place right now, but please be assured that there is still plenty of hope for things to go in the right direction, and for you and your baby to enjoy the nursing relationship of your dreams. Lots of mamas struggle in the beginning and then go on to meet and/or exceed their breastfeeding goals. You're not alone in facing a tough situation.
Here are some questions for you that will help us assess your situation:
- How much formula are you currently using?
- How much milk are you pumping per session?
- How often are you pumping?
- How does nursing feel? (Any pain, discomfort?)
- Is baby sleepy at the breast? (Falls asleep rapidly when nursing)
- Is baby jaundiced?
- How was dehydration determined?
- Was baby producing adequate wet and poopy diapers prior to supplementing?
- Did you have any of the following during birth: severe blood loss, IV fluids, magnesium sulfate?
- Ever have any breast or nipple surgeries (including implants or reduction)?
- Did you ever see/feel your milk "come in"- you might have experienced a period of engorgement, or seen a changeover in the color of your milk from yellow (colostrum) to creamy white (early milk)?
- Any history of thyroid problems or PCOS for you?
- Are you currently using any form of hormonal contraception?
Honestly, because you ended up with a manual removal of the placenta, my first instinct is to wonder if you may have a fragment of retained placenta which is inhibiting milk production. As long as there is a piece of placenta in the uterus, your body acts as if it is still pregnant and doesn't produce much milk. So one of the first things I would do is to call the ob and find out if this is a possibility. The ob should have inspected the placenta and made sure that everything came out, but it's possible that a piece got missed, particularly if the placenta did not come out all in one piece.
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
Coolest thing my little girl sang recently: "I love dat one-two pupples!"